Organization Active NPI

Neuro Speech Services PLLC

  • Speech-Language Pathologist
  • McLean, VA
National Provider Identifier
1124695689
Registry record updated Jun 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
NEURO SPEECH SERVICES PLLC
Practice address
6808 Weaver Ave
MC Lean, VA 22101-4415
Phone
(917) 903-4482
NPI assigned
Jun 4, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lauren A Schwabish, M.S., CCC-SLPNPI 1992139992
Title
Speech Language Pathologist
Phone
(917) 903-4482

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

6808 Weaver Ave
MC Lean, VA 22101-4415

Mailing address

6808 Weaver Ave
MC Lean, VA 22101-4415
Phone (917) 903-4482

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210707001305 DC Part B Supplier - Clinic/Group Practice 6002218542 Receives reassigned benefits from 1 practitioner
Practice locations: MC Lean, VA; Vienna, VA

National Provider Directory

National Provider Directory

Locations

1945 Old Gallows Rd
Ste 410
Vienna, VA 22182
Phone (703) 762-2601

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1622764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622764800000",
    "number": "1124695689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6808 WEAVER AVE",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221014415",
            "telephone_number": "917-903-4482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6808 WEAVER AVE",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221014415",
            "telephone_number": "917-903-4482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEURO SPEECH SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-04",
        "last_updated": "2021-06-04",
        "certification_date": "2021-06-04",
        "status": "A",
        "authorized_official_last_name": "SCHWABISH",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "917-903-4482",
        "authorized_official_credential": "M.S., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McLean, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.